Skip to main content
Log in

Interaction of nutrition and binge ethanol treatment on brain damage and withdrawal

  • Original Paper
  • Published:
Journal of Biomedical Science

Abstract

To determine if nutrition plays a role in ethanol withdrawal and alcohol-induced brain damage, the effects of a 4-day ethanol binge treatment using ethanol in a nutritionally complete liquid diet compared to ethanol mixed with water were studied. The nutritionally complete diet group (ETOH-diet) received a complete diet of sugars, proteins and fats with vitamins and minerals with approximately 53% of calories from ethanol while the nutritionally deprived group (ETOH-H2O) received 100% of calories from ethanol. No difference in withdrawal behavior was found between the ETOH-diet and ETOH-H2O groups during the 72-hour period studied. In addition, no difference was seen for serum levels of magnesium and zinc taken at last dose or following 72 h of withdrawal. Serum alanine aminotransferase (ALT) and ammonia were increased in both groups with ETOH-diet showing a greater increase in ALT than ETOH-H2O. Both groups showed damage in the olfactory bulb, perirhinal, agranular insular, piriform and lateral entorhinal cortical areas as well as hippocampal dentate gyrus and CA-3. Interestingly, the ETOH-diet group displayed more damage at last dose in the posterior dentate and CA-3 of hippocampus than did the ETOH-H2O group. This study suggests that nutritional components and total caloric intake do not effect behavior during ethanol withdrawal and that a nutritionally complete diet may increase ethanol-induced brain damage.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Butterworth RF. Pathophysiology of alcoholic brain damage: Synergistic effects of ethanol, thiamin deficiency and alcoholic liver disease. Metab Brain Dis 10:1–8;1995.

    Article  Google Scholar 

  2. Cartlidge D, Redmond AD. Alcohol and conscious level. Pharmacotherapy 44:205–208;1990.

    Google Scholar 

  3. Chandler LJ, Newson H, Sumners C, Crews FT. Chronic ethanol exposure potentiates NMDA excitotoxicity in cerebral cortical neurons. J Neurochem 60:1578–1581;1993.

    PubMed  Google Scholar 

  4. Charness ME, Simon RP, Greenberg DA. Ethanol and the nervous system. N Engl J Med 321:442–452;1989.

    PubMed  Google Scholar 

  5. Collins M, Corso T, Neafsey E. Neuronal degeneration in rat cerebrocortical olfactory regions during subchronic ‘binge’ intoxication with ethanol: Possible explanation for olfactory deficits in alcoholics. Alcohol Clin Exp Res 20:284–292;1996.

    PubMed  Google Scholar 

  6. Collins MA, Zou J-Y, Neafsey EJ. Brain damage due to episodic alcohol exposure in vivo and in vitro: Furosemide neuroprotection implicates edema-based mechanism. FASEB J 12:221–230;1998.

    PubMed  Google Scholar 

  7. Corso TD, Mostafa HM, Collins MA, Neafsey EJ. Brain neuronal degeneration caused by episodic alcohol intoxication in rats: Effects of nimodipine, 6,7-dinitro-quinozaline-2,3-dione, and MK-801. Alcohol Clin Exp Res 22:217–224;1998.

    PubMed  Google Scholar 

  8. Crews FT. Alcohol and neurodegeneration. CNS Drug Rev 5;379–394;1999.

    Google Scholar 

  9. Crews FT, Braun CJ, Hoplight B, Switzer R III, Knapp DJ. Binge ethanol consumption causes differential brain damage in young-adolescent compared to adult rats. Alcohol Clin Exp Res, in press.

  10. Crews FT, Morrow AL, Criswell H, Breese G. Effects of ethanol on ion channels. In: Bradley R, Harris R, Jenner P, eds. International Review of Neurobiology. San Diego, Academic Press, 283–367;1996.

    Google Scholar 

  11. de Olmos JS, Beltramino CA, de Olmos de Lorenzo S. Use of an amino-cupric-silver technique for the detection of early and semiacute neuronal degeneration caused by neurotoxicants, hypoxia, and physical trauma. Neurotoxicol Teratol 16:545–561;1994.

    PubMed  Google Scholar 

  12. DiTraglia GM, Press DS, Butters N, Jernigan TL, Cermak LS, Velin RA, Shear PK, Irwin M, Schuckit M. Assessment of olfactory deficits in detoxified alcoholics. Alcohol 8;109–115;1991.

    PubMed  Google Scholar 

  13. Flink EB, Stutuzman FL, Anderson AR, Lonig T, Fraser R. Magnesium deficiency after prolonged parenteral fluid administration and after chronic alcoholism complicated by delirium tremens. J Lab Clin Med 43:169–183;1954.

    PubMed  Google Scholar 

  14. Frye GD, Ellis FW. Effects of 6-hydroxydopamine or 5,7-dihydroxytryptamine on the development of physical dependence on ethanol. Drug Alcohol Depend 2:349–359;1977.

    Article  PubMed  Google Scholar 

  15. Harding AJ, Wong A, Svoboda M, Kril JJ, Halliday GM. Chronic alcohol consumption does not cause hippocampal neuron loss in humans. Hippocampus 7:78–87;1997.

    Article  PubMed  Google Scholar 

  16. Harper CG, Kril JJ. Neuropathological changes in alcoholics. In: Hunt WA, Nixon SJ, eds. Alcohol-Induced Brain Damage. Rockville, National Institute on Alcohol Abuse and Alcoholism 22:39–70;1993.

    Google Scholar 

  17. Hunt WA, Nixon SJ. Alcohol-Induced Brain Damage, Research Monograph No. 22. Rockville, National Institute on Alcohol Abuse and Alcoholism, 1993.

    Google Scholar 

  18. Ibanez J, Herrero MT, Insausti R, Balzunegui T, Tunon T, Garcia-Bragado F, Gonzalo LM. Chronic alcoholism decreases neuronal nuclear size in the human entorhinal cortex. Neurosci Lett 183;71–74;1995.

    Article  PubMed  Google Scholar 

  19. Kesslak J, Profitt B, Criswell P. Olfactory function in chronic alcoholics. Percept Mot Skills 73;551–554;1991.

    PubMed  Google Scholar 

  20. Knapp DJ, Crews FT. Induction of cyclooxy-genase-2 in brain during acute and chronic ethanol treatment and ethanol withdrawal. Alcohol Clin Exp Res 23:1–11:1999.

    PubMed  Google Scholar 

  21. Knapp DJ, Saiers JA, Pohorecky LA. Observation of novel behaviors as indices of ethanol withdrawal-induced anxiety. Alcohol Suppl 2;489–493;1993.

    Google Scholar 

  22. Majchrowicz E. Induction of physical dependence upon ethanol and the associated behavioral changes in rats. Psychopharmacologia 43:245–254;1975.

    Article  PubMed  Google Scholar 

  23. Mendelson JH, La Dou J, Corbett C. Experimentally induced chronic intoxication and withdrawal in alcoholics. Part 2: Serum magnesium and glucose. Q J Stud Alcohol Suppl 2:108–116;1964.

    Google Scholar 

  24. Mendelson JH, Ogata M, Mello NK. Effects of alcohol ingestion and withdrawal on magnesium states of alcoholics: Clinical and experimental findings. Ann NY Acad Sci 135:919–933;1968.

    Google Scholar 

  25. Meyer JG, Urban K. Electrolyte changes and acid base balance after alcohol withdrawal, with special reference to rum fits and magnesium depletion. J Neurol 215:135–140;1977.

    Article  PubMed  Google Scholar 

  26. Obernier J, Crews FT. Corticolimbic circuit neurodegeneration induced by multiple day binge ethanol exposure. Alcohol Clin Exp Res 24:66A;2000.

    Google Scholar 

  27. Pfefferbaum A, Lim KO, Desmond JE, Sullivan EV. Thinning of the corpus callosum in older alcoholic men: A magnetic resonance imaging study. Alcohol Clin Exp Res 20:752–757;1996.

    PubMed  Google Scholar 

  28. Robin RW, Long JC, Rasmussen JK, Albaugh B, Goldman D. Relationship of binge drinking to alcohol dependence, other psychiatric disorders, and behavioral problems in an American Indian tribe. Alcohol Clin Exp Res 22:518–523;1998.

    PubMed  Google Scholar 

  29. Shear PK, Butters N, Jernigan TL, DiTraglia GM, Irwin M, Schuckit MA, Cermak LS. Olfactory loss in alcoholics: Correlation with cortical and subcortical MRI indices. Alcohol 9:247–255;1992.

    Article  PubMed  Google Scholar 

  30. Shepherd GM. The Synpatic Organization of the Brain. New York, Oxford University Press, 1998.

    Google Scholar 

  31. Sullivan EV, Rosenbloom MJ, Pfefferbaum A. Pattern of motor and cognitive deficits in detoxified alcoholic men. Alcohol Clin Exp Res 24:611–621;2000.

    Article  PubMed  Google Scholar 

  32. Suter C, Klingman W. Neurologic manifestations of magnesium depletion states. Neurology 4:691–699;1955.

    Google Scholar 

  33. Switzer R III, Majchrowicz E, Weight F. Ethanol-induced argyrophilia in entorhinal cortex of rat. Anat Rec 202:186a;1982.

    Google Scholar 

  34. Switzer RC III. Application of silver degeneration stains for neurotoxicity testing. Toxicol Pathol 28;70–83;2000.

    PubMed  Google Scholar 

  35. Teplin LA, Abram KM, Michaels SK. Blood alcohol level among emergency room patients: A multivariate analysis. J Stud Alcohol 50:441–447;1989.

    PubMed  Google Scholar 

  36. Urso T, Gavaler JS, Van Thiel DH. Blood ethanol levels in sober alcohol users seen in an emergency room. Life Sci 28:1053–1056;1981.

    Article  PubMed  Google Scholar 

  37. Victor M, Adams RD, Collins GH. The Wernicke-Korsakoff Syndrome and Related Disorders due to Alcoholism and Malnutrition. Philadelphia, Davis, 1989.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Crews, F.T., Braun, C.J., Ali, R. et al. Interaction of nutrition and binge ethanol treatment on brain damage and withdrawal. J Biomed Sci 8, 134–142 (2001). https://doi.org/10.1007/BF02255982

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02255982

Key words

Navigation